Permission to Access High Hazard Space Request Form
This permission request form must be completed and submitted 72 hours prior to the start of the requested activity. This will enable the appropriate space owner to make the space safe to enter. High Hazard spaces are as definded it the QuEMIS Hazard Management System.
{"elements":[{"isDiscrete":false,"hidden":false,"name":"Department where access is required","readOnly":false,"id":292967369,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"1473958047270_0.9690139029213514_0.7151995676451468","readOnly":false,"id":312635197,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Room Number","readOnly":false,"id":292981954,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Work reference number","readOnly":false,"id":292969129,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Survey","value":"0-survey"},{"text":"Maintenance activity","value":"1-maintenanceactivity"},{"text":"Project","value":"2-project"},{"text":"Other (give details in box below)","value":"3-othergivedetailsinboxbelow"}],"name":"type of activity","readOnly":false,"id":292973743,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"Additional Information","readOnly":false,"id":293703422,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Description of intended work/activity ","readOnly":false,"id":292973874,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Date access is requried","readOnly":false,"id":292974038,"type":"dateTimeElement"},{"isDiscrete":false,"hidden":false,"name":"start time","readOnly":false,"id":292979161,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"end time","readOnly":false,"id":292979242,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"attendees","readOnly":false,"id":292979530,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Person requesting access to the space","readOnly":false,"id":292979307,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"company name","readOnly":false,"id":292979743,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Person completing form You may be contacted for further information","readOnly":false,"id":292980228,"type":"emailElement"}]}